Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSEPH ANTHONY LICAUSI II
ActiveMR. JOSEPH ANTHONY LICAUSI II is a Behavioral Health Technician healthcare provider located in WEST HAVEN, Connecticut. NPI 1871112839 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · WEST HAVEN, CT
Registration Details
- NPI Number
- 1871112839
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2020 (6.3738132580201 yrs)
- Last Updated
- Apr 10, 2020
- License
-
PTN.0007595 (CT)
Practice Information
- Address
-
950 CAMPBELL AVEWEST HAVEN, CT, 065162770Browse CT providers · Browse ZIP 06516
- Phone
- 2039325711
- Primary Specialty
-
Behavioral Health Technician
374700000X
Other Behavioral Health Technician Providers in WEST HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| PATRICK GONCALO | — | 1477031995 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.